脑电双频指数在小儿麻醉中的应用

摘要

Objective To investigate the clinical value of bispectral index in pediatric anesthesia.Methods May 2011 to May 2013 in our hospital sevoflurane anesthesia in children with a total of 150 patients were randomized to take a computer balloting methods were randomly divided into observation group and control group of 75 patients in the control group according to conventional methods of observation given sevolfurane anesthesia, the observation group taking bispectral index observation methods give sevolfurane anesthesia, anesthesia two groups were compared. ResultsThe observed amount of sevoflurane group, anesthesia time, recovery time was (11.32 ± 0.43) ml, (0.78 ± 0.11) min, the amount of sevoflurane (1.54 ± 0.76) min, the control group, anesthesia induction time, recovery time was (14.32 ± 0.65) ml, (0.90 ± 0.13) min, (1.89 ± 0.77) min. Sevoflurane dosage observation group was significantly less than the control group, anesthesia induction time, recovery time was significantly shorter than the control group, P<0.05, statistically significant. Conclusion Take bispectral index monitor to give children under general anesthesia treatment can reduce the risk of surgery for children with stable vital signs, shorten recovery time after surgery have a positive value.%目的：探讨脑电双频指数在小儿麻醉中的临床应用价值。方法选择2011年5月～2013年5月在本院进行七氟醚吸入麻醉手术的患儿共计150例，采取电脑抽签随机分组的方法随机分成观察组、对照组各75例，对照组根据常规观测方法给予七氟醚吸入麻醉，观察组采取脑电双频指数观测方法给予七氟醚吸入麻醉，比较两组患者的麻醉情况。结果观察组的七氟醚用量、麻醉诱导时间、苏醒时间分别为（11.32±0.43）ml、（0.78±0.11）min、（1.54±0.76）min，对照组的七氟醚用量、麻醉诱导时间、苏醒时间分别为（14.32±0.65）ml、（0.90±0.13）min、（1.89±0.77）min。观察组的七氟醚用量少于对照组，麻醉诱导时间、苏醒时间均短于对照组，P＜0.05，有统计学意义。结论采取脑电双频指数监测下给予小儿进行全身麻醉治疗可以降低手术风险，对于稳定患儿生命体征，缩短术后苏醒时间都具有积极价值。